Delirium in the Cardiac Intensive Care Unit.
Delirium in the Cardiac Intensive Care Unit.
复制标题
DOI：
10.1161/jaha.118.008568
复制
发表时间：
2018-02-16
影响因子：
5.4
通讯作者：
McEvoy JW
中科院分区：
文献类型：
--
作者：
Ibrahim K;McCarthy CP;McCarthy KJ;Brown CH;Needham DM;Januzzi JL Jr;McEvoy JW
谵妄是一个重要的诊断，因为它是具有挑战性的管理，因为它预示着在医院和超越预后不良。1谵妄在重症监护室（ICU）环境中尤其普遍，与住院时间延长、2机械通气延长、3住院费用增加4和死亡率增加相关。事实上，研究表明，机械通气患者的谵妄发生率高达85%。此外，谵妄的负面影响超出了住院治疗的范围，因为受影响的患者不太可能出院回家，更可能有长期的认知障碍。7因此，预防以及及时识别和治疗ICU中的谵妄是至关重要的。虽然ICU谵妄一直是深入研究的主题和许多综述文章，但很少关注与心脏ICU（CICU）患者相关的谵妄的独特方面。在这篇文章中，我们回顾了最近的理解的病因学，流行病学，预防和治疗谵妄在CICU，并提出了未来的发展方向。
Delirium is an important diagnosis, both because it is challenging to manage and because it portends a poor prognosis in the hospital and beyond. 1 Delirium is particularly prevalent in the intensive care unit (ICU) setting, where it is associated with longer hospital stays, 2 prolonged mechanical ventilation, 3 increased hospital costs, 4 and increases in mortality. 1 In fact, studies have shown the incidence of delirium in mechanically ventilated patients to be as high as 85%. 5, 6 Furthermore, the negative ramifications of delirium extend beyond hospitalization, as afflicted patients are less likely to be discharged home and more likely to have longterm cognitive impairment. 7 Consequently, prevention as well as prompt identification and treatment of delirium in the ICU is critical.While ICU delirium has been the subject of intense research and numerous review articles, little attention has been placed on the unique aspects of delirium related to patients in the cardiac ICU (CICU). In this article, we review recent understanding of the etiology, epidemiology, prevention, and treatment of delirium in the CICU, concluding with suggested future directions.